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(Created page with "Medical microbiology is part of the Laboratory service which provides pathology support to the DHB. Microbiology involves the diagnosis and management of diseases caused by micro-organisms, for example: · bacteria · fungi · viruses · protozoa · parasites. The microbiology laboratory staff specialise in testing clinical specimens such as urine, blood, tissues and swabs, for micro-organisms and other evidence of infection. Specialist m...") |
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· parasites. | · parasites. | ||
The microbiology laboratory staff specialise in testing clinical specimens such as urine, blood, tissues and swabs, for micro-organisms and other evidence of infection. Specialist medical staff provide a comprehensive clinical service through contact with the department | The microbiology laboratory staff specialise in testing clinical specimens such as urine, blood, tissues and swabs, for micro-organisms and other evidence of infection. Specialist medical staff provide a comprehensive clinical service through contact with the department. | ||
We aim to provide a timely and high quality diagnostic and advisory service to clinicians, health staff and patients in Hawke's Bay hospital and local community. | We aim to provide a timely and high quality diagnostic and advisory service to clinicians, health staff and patients in Hawke's Bay hospital and local community. | ||
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· Parasitology | · Parasitology | ||
· Chlamydia/Gonorrhoea screening service (NAAT, Nucleic acid amplification test, through | · Chlamydia/Gonorrhoea screening service (NAAT, Nucleic acid amplification test, through Awanui Laboratory). | ||
The Microbiology service is mainly concerned with bacteriology | The Microbiology service is mainly concerned with bacteriology i.e.: | ||
· Culture of a range of biological material (for example: swabs, urine, blood, sputum) from human sources. | · Culture of a range of biological material (for example: swabs, urine, blood, sputum) from human sources. | ||
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== '''Serology''' == | == '''Serology''' == | ||
Testing for HIV, Hepatitis B & C, Syphilis and Rubella (immunity) is performed locally. Hepatitis B testing is dependent upon the clinical information stated on the request form. Other serology testing is sent to an appropriate reference laboratory. Testing involves the diagnostic identification of antigens/antibodies in serum. Such specific antibodies are typically formed in response to an infection. | Testing for HIV, Hepatitis B & C, Syphilis and Rubella (immunity) is performed locally. Hepatitis B testing is dependent upon the clinical information stated on the request form. Other serology testing is sent to an appropriate reference laboratory. Testing involves the diagnostic identification of antigens/antibodies in serum. Such specific antibodies are typically formed in response to an infection. Urgent assessment for exposure to body fluids can be undertaken and this includes a Hepatitis B antibody (immunity) level on the individual who is the "Exposed/Recipient" and a HIV, Hepatitis C and Hepatitis B antigen (infectious disease) on the individual who is the "Source". Testing, if required, on the "Exposed" individual for HBV, HCV and HIV should be carried out 3 months post injury. | ||
== '''Advice''' == | == '''Advice''' == | ||
Clinical microbiology advice is provided regarding all aspects of testing, treatment, management and prevention of infectious diseases. This can be provided by the department | Clinical microbiology advice is provided regarding all aspects of testing, treatment, management and prevention of infectious diseases. This can be provided by the department or by the Hospital Infectious Disease Clinicians. | ||
The department works closely with the | The department works closely with the Hospital Infection Control team, Occupational Health, Public Health, hospital Clinicians and General Practitioners. | ||
== '''Test Requests''' == | == '''Test Requests''' == | ||
The appropriate microbiological investigations that are performed on a specimen are selected on the basis of data included on the request form, and results are also interpreted in the light of this information. Consequently, in addition to the usual requirements for patient name, hospital and NHI number and date of birth, it is important to include adequate clinical information on each form. Please complete a fresh request form for each sample, as forms may be required to be sent to separate areas of the laboratory. Details to be included and the reason for their inclusion are given below: | The appropriate microbiological investigations that are performed on a specimen are selected on the basis of data included on the request form, and results are also interpreted in the light of this information. Consequently, in addition to the usual requirements for patient name, hospital and NHI number and date of birth, it is important to include adequate clinical information on each form. Please complete a fresh request form for each sample, as forms may be required to be sent to separate areas of the laboratory. Details to be included and the reason for their inclusion are given below: | ||
· '''Patient’s address:''' In some cases, this is important epidemiological information (e.g. identification of clusters of infections in the community, contact tracing, etc). | · '''Patient’s address:''' In some cases, this is important epidemiological information (e.g. identification of clusters of infections in the community, contact tracing, etc.). | ||
· '''Date of birth:''' Some microbiological tests performed on the specimen may be selected purely on grounds of age (e.g. examination for rotavirus in stool specimens of children). | · '''Date of birth:''' Some microbiological tests performed on the specimen may be selected purely on grounds of age (e.g. examination for rotavirus in stool specimens of children). | ||
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Microbiology Laboratory | Microbiology Laboratory | ||
Ph 06 878 1308 Ext | Ph 06 878 1308 Ext 2637 | ||
'''Neil Campbell''' Ext 2630 | '''Neil Campbell''' Ext 2630 | ||
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== '''Microbiology Consultants:''' == | == '''Microbiology Consultants:''' == | ||
· | · Contact the Microbiology Department for contact details. | ||
· Dr Andrew Burns Ext 5467 or Speed-Dial No. *73207 | · Dr Andrew Burns Ext 5467 or Speed-Dial No. *73207 | ||
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